| NPI | 1003148073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SHENASA Owner 408-918-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A50310) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2017-08-30 |